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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. �� �t r""`r/ v1 Lot No.
2. Owner's name C yl( ( ���-K � (�5�� ��SYIiI✓f - Address_ 3 �bw'`�1' �l
3. Builder's name ) Ifi1 '�'1"l^fn co Address 1� Ows1�I("({ S C Ge
Mass.Construction Supervisor's License No. O 537 9 7 _—Expiration Date �' S
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished? d _
8. Repair after the fire
9 �
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:- =6916 u tz
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Sign tune of responsible app,irant
Remarks
Date Filed a l� File No.
ZONING PERMIT APPLICATION (910 . 2)
1. Name of Applicant: 9,�, cc
Address: Q 5 Telephone:
2 . Owner of Property: W0rvVJ t
Address : Telephone : /'
3 . Status of Applicant: - Owner Contract Purchaser
Lessee Other (explain: CX 'jy n,, )
4 . Parcel Identification: Zoning Map sheet# 3 Parcel#
Zoning District(s) (include ove lays)
Street Address 3G � �- –
Required
5. xivtl, nq Proposed —by Zoning
Use of Structure/Property '
(if project is only interior work skip to #6)
Building height
%B1dg. Coverage (Footp int)
Setbacks - front
- side L. R: L: R:
- rear
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) VQ
X, C
Y
7 . Attached Plans : Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
Date : � ( I � 'S� Applicant' s Signature:
THIS SECTION FOR OFFICIAL USE ONLY:
pproved as presented/based on information presented
Denied as presented--Reason:
Special� Permit and/or Site Plan Required:
nd' g Req fired: Variance Required:
gnatu uilding Ins for -- ate
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Health,Conservation Commission, Department of Public Works and other applicable permit granting authorities.
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